18/07/2022
| OBR WHITEBOARD WEDNESDAY |
You are called priority 2 to a local GP clinic for an 18 year old patient. Dispatch informs you that your patient is currently in care of a doctor and nurse at the clinic. The clinic has requested that the patient be transported to hospital due to a suspected fracture.
You arrive at the clinic and deem that the scene is safe to approach.
The nurse on scene provides you with the following handover: "Bailey has presented to our clinic today after sustaining an injury in their footy game this morning. Bailey’s pronouns are they/them. Bailey reports that they were knocked to the ground during a tackle and landed on their left arm. At this point Bailey felt an immediate, severe pain in their left forearm. They were able to get themselves off the field and to the first aid tent where a SAM splint and sling were applied. On arrival to the clinic Bailey’s mid forearm was grossly swollen and extremely painful. No apparent break to the skin. Bailey had an initial pain score of 8/10 and they have been given 5mg of IM morphine about 15 minutes ago. Most recent pain score was 6/10. Other vitals have been stable, GCS 15, RR 16, HR 90, BP 110/80, Spo2 100%. Bailey denies sustaining a headstrike during the tackle and no other injuries appear to have been sustained. Bailey doesn’t have pain anywhere except for their left forearm."
Your own assessment of Bailey is as follows:
R - Bailey is alert to your arrival
A - Maintaining own
B - WOB normal. RR 16 and regular. Spo2 100%. Chest sounds clear and equal on auscultation.
C - Skin warm, cap refill